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General NPI Number Information
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NPI Number | 1013830389
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Entity Type | Individual
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Provider Name | NAOMI JENNIFER REZNIK
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1320 WILLOW PASS RD STE 700
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City | CONCORD
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State | CA
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Zip | 94520-7926
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Country | US
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Telephone | 925-945-1474
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Fax |
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Provider Business Mailing Address
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Address Line | 9771 GLENSIDE PL
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-1507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP39594
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License Number State | CA
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